Chen S Y, Wen F, Zhao C B, Zhang D M, Wu X L
Department of Psychiatry, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Department of Psychiatry, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510630, China.
Zhonghua Yi Xue Za Zhi. 2020 Feb 11;100(5):351-356. doi: 10.3760/cma.j.issn.0376-2491.2020.05.007.
To clarify the effect of cognitive impairment on social function and quality of life of chronic schizophrenia, and provide clinical cognitive strategies for improving the social function and quality of life of patients with schizophrenia. Atotal of 158 patients with chronic schizophrenia were selected from May 2017 to October 2017 in the Psychiatry Department of the Third Affiliated Hospital of Sun Yat-sen University received psychological assessments, such as, MATRICS Consensus Cognitive Battery(MCCB), the Brief Psychiatric Rating Scale(BPRS), the Personal and Social Performance scale(PSP), and Schizophrenia Quality of Life Scale(SQLS). We further explored the effects of neurocognitive and social cognitive functions on their individual and social performance and quality of life in patients with schizophrenia. (1) The scores of SQLS in the group with impaired social cognitive function were higher than those with good social function(101±46 vs 76±40, 0.002). (2) The digital sequence and continuous performance test of the socially functional group were higher than the defect group. (3) There was a significant correlation between the years of education((2)0.334, 25.542), continuous performance ((2)0.316, 35.647), BPRS ((2)0.280, 60.386) and social function (0.001). (4) BPRS ((2)0.486, 228.28), and emotional management (MSCEIT) ((2)0.510, 124.789), education ((2)0.531, 90.161), age ((2)0.539, 69.644) significantly affected the SQLS score of patients with schizophrenia(0.001). The social function and quality of life of patients with schizophrenia are significantly correlated with their years of education and disease severity. Continuous performance in neurocognition significantly affects the social function of patients with schizophrenia, and emotional management in social cognition significantly affects their quality of life. Socially functional schizophrenia patients have higher digital sequences (working memory) and continuous performance (attention/alertness) scores.
为阐明认知障碍对慢性精神分裂症患者社会功能及生活质量的影响,并为改善精神分裂症患者的社会功能及生活质量提供临床认知策略。2017年5月至2017年10月,选取中山大学附属第三医院精神科158例慢性精神分裂症患者,进行心理评估,如重复神经心理状态评估量表(MCCB)、简明精神病评定量表(BPRS)、个人和社会功能量表(PSP)以及精神分裂症生活质量量表(SQLS)。我们进一步探讨了神经认知和社会认知功能对精神分裂症患者个体及社会表现和生活质量的影响。(1)社会认知功能受损组的SQLS评分高于社会功能良好组(101±46 vs 76±40,P=0.002)。(2)社会功能良好组的数字序列和连续操作测验成绩高于缺陷组。(3)受教育年限(r=0.334,P=25.542)、连续操作测验(r=0.316,P=35.647)、BPRS(r=0.280,P=60.386)与社会功能显著相关(P=0.001)。(4)BPRS(r=0.486,P=228.28)、情绪管理(MSCEIT)(r=0.510,P=124.789)、受教育程度(r=0.531,P=90.161)、年龄(r=0.539,P=69.644)显著影响精神分裂症患者的SQLS评分(P=0.001)。精神分裂症患者的社会功能和生活质量与其受教育年限和疾病严重程度显著相关。神经认知中的连续操作测验显著影响精神分裂症患者的社会功能,社会认知中的情绪管理显著影响其生活质量。社会功能良好的精神分裂症患者数字序列(工作记忆)和连续操作测验(注意力/警觉性)成绩更高。